Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.90 / $949.20 / $5,743.00	Facility		$174.90	$949.20	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $174.90 / $307.37	Professional		$102.65	$174.90	$307.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $170.87 / $259.45	Professional		$104.73	$170.87	$259.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $123.50 / $2,315.00	Professional		$116.92	$123.50	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $184.57 / $184.57	Facility		$184.57	$184.57	$184.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $187.89 / $338.05	Professional		$115.18	$187.89	$338.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $216.26 / $257.45	Professional		$193.19	$216.26	$257.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $174.90 / $278.20	Facility		$104.70	$174.90	$278.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $267.00 / $376.00	Professional		$233.00	$267.00	$376.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $157.72 / $1,098.00	Facility		$112.21	$157.72	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.18 / $256.29 / $1,098.00	Professional		$158.18	$256.29	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $206.29 / $349.49	Professional		$155.94	$206.29	$349.49